Individual provider Active NPI

Tammie D. Cvengros, CRNA

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1326132283
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4765A Issued in KY
Practice address
225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914
Phone
(270) 441-4750
Fax
(270) 441-4770
NPI assigned
Oct 3, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4765A KY Primary
Certified Registered Nurse Anesthetist 367500000X 28205260A IN

Addresses

Primary practice location

225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914

Mailing address

225 Medical Center Dr
Suite 308
Paducah, KY 42003-7914
Phone (270) 441-4750

Other identifiers 2

IdentifierTypeStateIssuer
74450750MedicaidKY
000000382987OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121119000578 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012921711 Reassigns benefits to 1 organization
I20210406000890 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012921711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Practice addresses (Care Compare)

28 White Bridge Rd
Suite 210
Nashville, TN 37205-1467
Phone (615) 352-3000

310 25TH Ave N
Suite 100
Nashville, TN 37203-1515
Phone (615) 321-6100

4601 Carothers Pkwy
Suite 375
Franklin, TN 37067-6000
Phone (615) 791-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
10727TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Franklin Endo Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2022 Accepting new patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2021 Accepting new patients
Purchase Anesthesia, PSC Nurse Anesthetist, Certified Registered PastSince Apr 1, 2005 Accepting new patients
Owensboro Anesthesia Services, PLLC Past Accepting new patients
Metro Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered PastSince Feb 21, 2015 Accepting new patients

Locations

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

1805 Williamson Ct
Ste 200
Brentwood, TN 37027
Phone (615) 331-5536

9160 Carothers Pkwy
Franklin, TN 37067
Phone (615) 550-6066

9160 Carothers Pkwy
Ste 100
Franklin, TN 37067
Phone (615) 446-1915

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

310 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 321-6200

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1326132283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 308",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 308",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVENGROS",
        "first_name": "TAMMIE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4765A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28205260A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74450750",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000382987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.